Mesothelioma CT

Jump to navigation Jump to search

Mesothelioma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Mesothelioma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Staging

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

MRI

Ultrasound

Other Diagnostic Studies

Other Imaging Findings

Treatment

Medical Therapy

Surgery

Summary of Treatment for Pleural Mesothelioma

Summary of Treatment for Peritoneal Mesothelioma

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Mesothelioma CT On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Mesothelioma CT

All Images
X-rays
Echo and Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Mesothelioma CT

CDC on Mesothelioma CT

Mesothelioma CT in the news

Blogs on Mesothelioma CT

Directions to Hospitals Treating Mesothelioma

Risk calculators and risk factors for Mesothelioma CT

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]

Overview

Chest CT scan may be diagnostic of mesothelioma. CT is the most commonly used modality for the assessment of mesothelioma and is able to stage the disease accurately in most patients.[1]

CT Scan

  • Chest CT scan is the most commonly used modality for the assessment of mesothelioma and is able to stage the disease accurately in most patients.
  • The appearance is that of a soft tissue attenuation nodular mass which spreads along pleural surfaces including into pleural fissures and often creating a pleural rind.
  • Calcification is seen in 20% of cases which usually represents engulfed calcified pleural plaques rather than true tumour calcification.
  • Sarcomatoid variants may demonstrate osteosarcoma or chondrosarcomatous components which may also be calcified.
  • An uncommon variant is the solitary mediastinal malignant mesothelioma which has appearances reminiscent of a solitary fibrous tumour of the pleura.
  • Mesotheliomas have a predilection for direct invasion of adjacent structures (chest wall, diaphragm and mediastinal content) but also frequently metastasise to the contralateral lung and local nodes.
  • To confidently predict chest wall invasion the extrapleural fat plane should be seen to be infiltrated and/or direct extension in bone or muscle identified.
  • Presence of a pericardial effusion suggests transpericardial extension.

References

  1. Mesothelioma. Radiopaedia. http://radiopaedia.org/articles/mesothelioma. Accessed on 13th January, 2016. http://radiopaedia.org/articles/mesothelioma


Template:WikiDoc Sources